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| Name | Class |
|---|---|
| Co-Operative Institute of Health Sciences | UNKNOWN |
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Unilateral trapezitis is characterized by upper trapezius myofascial pain and trigger points and commonly causes neck pain, restricted cervical range of motion (ROM), and functional disability. While myofascial release (MFR) and positional release technique (PRT) are widely used, their comparative effectiveness remains unclear. Therefore, this study aimed to compare the effectiveness of MFR versus PRT combined with conventional exercises on pain, cervical lateral flexion ROM, and neck disability in young adults with unilateral trapezitis. Thirty participants (aged 20-25 years) with unilateral trapezitis were randomly assigned to two groups (n=15 each). Group A received MFR plus conventional treatment (active neck movements, trapezius stretching), while Group B received PRT plus the same conventional treatment. Interventions were delivered 3 days/week for 20 minutes/session over 2 months. Outcomes included Numerical Pain Rating Scale (NPRS), goniometric cervical lateral flexion ROM (affected/unaffected sides), and Neck Disability Index (NDI), measured pre- and post-intervention. Both MFR and PRT effectively improved pain, ROM, and disability in unilateral trapezitis. PRT demonstrated greater short-term benefits for pain reduction and functional improvement, suggesting it as the preferred initial intervention when rapid symptomatic relief is prioritized.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Experimental Group 1 | Experimental | In this group, participants received the myofascial release technique and conventional treatment, including active neck movements and trapezius stretching. |
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| Experimental Group 2 | Active Comparator | In this group, participants received the positional release technique and conventional treatment, including active neck movements and trapezius stretching. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Myofascial Release Technique | Other | Myofascial release technique is a specialized manual therapy technique used to alleviate chronic pain and restore motion by releasing tension in the fascia. |
| Measure | Description | Time Frame |
|---|---|---|
| Neck Pain | Pain on the affected side was measured using the Numerical Pain Rating Scale. The Numerical Pain Rating Scale-11 is a widely used 11-point scale for self-reporting pain. The respondent chooses a whole number (0-10) that best reflects the intensity of their pain. The greater the number, the worse is the outcome. | 8 weeks. |
| Measure | Description | Time Frame |
|---|---|---|
| Range of motion | Neck lateral flexion range of motion is the measurement of how far subjects can tilt their head toward the shoulder while looking straight ahead. The greater the range of motion, the better is the outcome. | 8 weeks. |
| Functional status |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Co-Operative Institute of Health Sciences | Kannur | Kerala | 670105 | India |
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| ID | Term |
|---|---|
| D009209 | Myofascial Pain Syndromes |
| ID | Term |
|---|---|
| D009135 | Muscular Diseases |
| D009140 | Musculoskeletal Diseases |
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| ID | Term |
|---|---|
| D000089803 | Myofascial Release Therapy |
| ID | Term |
|---|---|
| D008405 | Massage |
| D064746 | Therapy, Soft Tissue |
| D026201 | Musculoskeletal Manipulations |
| D000529 | Complementary Therapies |
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| Positional Release Technique | Other | The Positional Release Technique is a gentle manual therapy that resolves pain and tissue dysfunction by moving the body into a "position of ease" or comfort. |
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Functional status was measured using the Neck Disability Index (NDI). It includes 10 items related to pain and functional limitations. A higher score indicates worse outcome. |
| 8 weeks. |
| D013812 |
| Therapeutics |
| D026741 | Physical Therapy Modalities |
| D012046 | Rehabilitation |